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Electives - Family Medicine
Integrated Behavioral Health in Primary Care
Elective Number: 1410 (lottery)
Rotation Supervisors: Claudia Allen, Ph.D. (434) 924-1622
Designated Signer: Wanda Hudson (434) 924-1609
Duration: 2 weeks (only in R6a, 9b & 13a) - otherwise 4 weeks
Available: Rotations 1-5, 6a, 7, 8, 9b, 10-12, 13a & 14
Report to: Dr. Allen
Typical day: 9:00 am - 5:00 pm
Attendance: Attendance at elective activities is mandatory.
Number of students per rotation: 1
2. The student participates in the live therapy team that staffs psychotherapy cases behind a one-way mirror two half days a week. The team is made up of a PhD level faculty member, 3 graduate students in clinical psychology, a Family Medicine resident, and on certain days Psychiatry resident. Medical students most often observe and participate in the discussion, but sometimes are offered the opportunity to conduct a session themselves, especially on the four week rotation. If a student does conduct a session, he or she drafts the note for the medical record, which is edited and entered by the faculty member.
3. The student also observes an additional three half days a week when fourth year doctoral students in clinical psychology conduct psychotherapy behind the mirror. The graduate student therapist discusses the case with the medical student before and after each session, and during a break in the session. The medical student also sits in during the graduate student therapist’s supervision with the faculty member of these cases.
5. The student accompanies the graduate student therapist or faculty member on Collaborative Care calls, where a physician requests an immediate consultation regarding a patient currently being seen in an outpatient or inpatient hospital service. These collaborative care calls may involve brief psychological assessment, safety screening, behavior change intervention, non-pharmacological pain management, or child development consultation. Medical students are encouraged to train to conduct one or more collaborative care interventions themselves under the supervision of the PhD attendings.
8. The student completes a Patient Centered Communication module, which involves on line training about communication and live observations of providers.
Daily Schedule: general hours 8:30-5:30